Uterovesical fistula and its treatment in Sub-Saharan Africa

Ceska Gynekol. 2024;89(1):56-60. doi: 10.48095/cccg202456.

Abstract

Aim of the study to summarize the current information on diagnostic and treatment options for uterovesical fistula as a consequence of iatrogenic complication. Methods: Literature review of available information on surgical treatment options for uterovesical fistula resulting from previous caesarean section and comparison with our own experience in the developing world. Conclusion: Uterovesical fistula is an abnormal communication between the bladder and uterus. The cause of this pathology in most cases is an iatrogenic complication, most commonly arising after a caesarean section. The incidence of this pathology varies significantly geographically. In developed countries, these fistulas are rather rare. On the other hand, in developing countries, uterovesical fistulas are more common with a significant impact on the subsequent life of the patient due to generally inaccessible health care.

Keywords: caesarean section; tamponade; urinary incontinence; uterovesical fistula.

Publication types

  • Review

MeSH terms

  • Africa South of the Sahara / epidemiology
  • Cesarean Section / adverse effects
  • Female
  • Fistula* / diagnosis
  • Fistula* / etiology
  • Fistula* / surgery
  • Humans
  • Iatrogenic Disease
  • Pregnancy
  • Urinary Bladder Fistula* / diagnosis
  • Urinary Bladder Fistula* / etiology
  • Urinary Bladder Fistula* / surgery
  • Uterine Diseases* / diagnosis
  • Uterine Diseases* / surgery